Individual
MRS. GAYLE ANN BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
311 MIRANDA AVE., SPRINGER, NM 87747
(575) 483-3408
(575) 483-3970
Mailing address
PO BOX 308, SPRINGER, NM 87747-0308
(575) 483-3491
(575) 483-5012
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-90454
NM
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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